Can I Use My HSA to Pay for Medical Bills from a Prior Year?

If you are wondering whether you can use your Health Savings Account (HSA) to pay for medical bills from a prior year, the answer is both yes and no. Let's dive into the details to understand how you can navigate this situation.

When it comes to using your HSA to cover medical expenses incurred in a prior year, here are some important points to consider:

  • Under the IRS rules, you can use your HSA funds to pay for qualified medical expenses from the time your HSA was established. This means that if the medical bills you are looking to pay for were incurred after your HSA was opened, you can use your HSA funds to cover them.
  • If you had the HSA account at the time when the medical expenses were incurred, even if it was from a prior year, you can still use the HSA funds to reimburse yourself for those expenses.
  • However, if the medical bills were from a time before you had the HSA account, you cannot use your HSA funds to pay for those expenses.

It's essential to keep accurate records and receipts of your medical expenses, especially if you plan to use your HSA to reimburse yourself for past medical bills. This documentation will be crucial for tax and audit purposes.

Ultimately, while you may not be able to use your HSA to pay for medical bills from any time before having the account, you can utilize it to cover qualified expenses from the time the HSA was established onwards.


The flexibility of using your Health Savings Account (HSA) can be quite beneficial, especially when it comes to managing expenses. If you've faced medical costs in previous years and wonder whether your HSA can help, there are important rules to understand.

Under the IRS regulations, the expenses eligible for HSA reimbursement must be incurred after your account was established. This means if your HSA is active and the medical bills you aim to cover are dated after the account's creation, you're in luck!

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